| NPI | 1851681779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAM DE LEON President 718-884-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 022973) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |